# CENTRE STREET SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700201449
- **Authorized official:** DR. ANTHONY J NG M.D. (MANAGING MEMBER)
- **Authorized official phone:** (212) 431-4309

## Contact information

- **Practice address:** 139 CENTRE ST STE 609, NEW YORK, NY 10013-4556
- **Practice address phone:** (212) 431-4309
- **Mailing address:** 139 CENTRE ST STE 609, NEW YORK, NY 10013-4556
- **Mailing address phone:** (212) 431-4309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 03/04/2014